ihi report nurse staffing impacts patient safety and quality of care

by Gaston Jones 8 min read

Hospital Nurse Staffing and Quality of Care - IHI

18 hours ago  · Hospital Nurse Staffing and Quality of Care. Rockville, Maryland: Agency for Healthcare Research and Quality; March 2004. Research in Action, Issue 14. Hospitals with low nurse staffing levels tend to have higher rates of poor patient outcomes such as pneumonia, shock, cardiac arrest, and urinary tract infections, according to research funded by the Agency … >> Go To The Portal


The effect of increased registered nurse staffing on patients safety was strong and consistent in intensive care units and in surgical patients. Greater registered nurse hours spent on direct patient care were associated with decreased risk of hospital-related death and shorter lengths of stay.

Full Answer

How does nurse staffing affect quality of care in hospitals?

Hospital Nurse Staffing and Quality of Care. Hospitals with low nurse staffing levels tend to have higher rates of poor patient outcomes such as pneumonia, shock, cardiac arrest, and urinary tract infections, according to research funded by the Agency for Healthcare Research and Quality and others.

What happens when healthcare facilities have understaffed nurses?

When healthcare facilities have insufficient nurses on staff, the welfare of patients can be compromised. Moreover, overwhelmed nurses could overlook details or not fully engage with patients. This can leave patients feeling dissatisfied with nurse performance. Why Does Understaffing Occur?

How does nursing staff affect patient perceptions of care?

In a study cited by the British Medical Journal, negative patient perceptions of nursing care relate to missed care, which can be a result of a shortage of nursing staff. Patients can also lose confidence in the care they receive when RNs are too rushed to explain medications or coordinate care with other team members.

What can healthcare organizations do to improve nurse staffing?

Satisfied patients could become loyal patrons, contributing to the financial stability of a healthcare organization. What Can Healthcare Organizations Do to Improve Nurse Staffing? Healthcare organizations need to focus on retaining nurses by maintaining an effective and supportive work environment.

How do nurse staffing ratios affect patient safety?

A 2017 study published in the Annals of Intensive Care found that higher nurse staffing ratios were tied to decreased survival likelihood. The analysis of 845 patients found that patients were 95 percent more likely to survive when nurses followed a hospital-mandated patient-nurse ratio.

How does nurse staffing affect patient care?

This lack of focus can lead to medical errors, a lack of engagement and missed nursing care. Patients in understaffed facilities face an increased rate of in-hospital mortality, a higher risk of infection, a rise in postoperative complications, and a greater number of falls.

How can nurses influence the quality and safety of care?

From a patient safety perspective, a nurse's role includes monitoring patients for clinical deterioration, detecting errors and near misses, understanding care processes and weaknesses inherent in some systems, identifying and communicating changes in patient condition, and performing countless other tasks to ensure ...

How do nurses promote patient safety and improve quality at your workplace?

Educating patients on their post-discharge care is a simple, yet effective, example of how nurses can improve patient safety. By working with patients to ensure they have a thorough understanding of their medical condition and self-care routine before they are discharged, nurses help facilitate a smooth recovery.

How can Staffing affect the healthcare and quality of care?

Inadequate Staffing Harms Quality and the Bottom Line. The lack of adequate nurse staffing can result in longer lengths of stay, patient dissatisfaction, higher readmissions and more adverse events — all things that can decrease quality and increase impacts on the bottom line.

Why is nursing staffing important?

Safe nurse staffing is essential to both the nursing profession and to the overall health care system. Staffing affects the ability of all nurses to deliver safe, quality care in all practice settings. By eliminating unsafe nurse staffing practices and policies, we can provide better health care for all.

What is safe staffing in nursing?

Safe nurse staffing means that an appropriate number of nurses is available at all times across the continuum of care, with a suitable mix of education, skills and experience to ensure that patient care needs are met and that the working environment and conditions support staff to deliver quality care.

Why is staffing important healthcare?

A healthcare facility needs adequate and safe levels of staffing to function well and administer care both safely and efficiently. Adequate staffing levels ensure better care for patients and reduces nurse fatigue, prevent burnout, and increase patient satisfaction.

What are the factors that affect the quality of health care?

Patient socio-demographic variables. ... Patient cooperation. ... Type of patient illness (severity of illness) ... Provider socio-demographic variables. ... Provider competence (Knowledge and skills) ... Provider motivation and satisfaction. ... Healthcare system.

What factors affect patient safety?

Main results Five categories of factors emerged that could affect patient involvement in safety: patient‐related (e.g. patients' demographic characteristics), illness‐related (e.g. illness severity), health‐care professional‐related (e.g. health care professionals' knowledge and beliefs), health care setting‐related ( ...

How can a nurse improve patient care?

5 Ways RNs Can Improve Patient CareDeliver Individualized Patient Care. If you walk down the hall of any nursing unit, you will likely hear nurses refer to the “CHF patient in Room 12” rather than simply calling the patient by their name. ... Empower Towards Self-Care. ... Show Compassion. ... Advance Your Education. ... Offer Empathy.

How can we improve the quality of patient care?

Best practices for taking better care of patientsShow respect. ... Express gratitude. ... Enable access to care. ... Involve patients' family members and friends. ... Coordinate patient care with other providers. ... Provide emotional support. ... Engage patients in their care plan. ... Address your patients' physical needs.More items...•

Nurse Staffing and Quality of Patient Care

A report to assess how nurse to patient ratios and nurse work hours were associated with patient outcomes in acute care hospitals, factors that influence nurse staffing policies, and nurse staffing strategies that improved patient outcomes. Observational studies were reviewed to examine the relationship between nurse staffing and outcomes.

Evidence-Based Resource Details

Agency for Healthcare Research and Quality (US), Archive [Internet]. 2007 Mar [cited 2013 Jan 15]. Nurse Staffing and Quality of Patient Care Evidence Reports/Technology Assessments, No. 151 Investigators: Robert L Kane, MD, Tatyana Shamliyan, MD, MS, Christine Mueller, PhD, RN, Sue Duval, PhD, and Timothy J Wilt, MD, MPH.

What happens when a hospital has insufficient nurses?

When healthcare facilities have insufficient nurses on staff, the welfare of patients can be compromised. Moreover, overwhelmed nurses could overlook details or not fully engage with patients. This can leave patients feeling dissatisfied with nurse performance.

Why is there understaffing in nursing?

Why Does Understaffing Occur? Budget cuts, nurses reaching retirement age and a shortage of nurse faculty to prepare new nurses are just a few reasons for understaffing.

Why do hospitals not keep nurses on duty?

Healthcare facilities that do not keep an adequate number of nurses on duty can jeopardize the safety of their patients . Overworked nurses may suffer from fatigue or burnout which can impair their ability to focus on tasks. This lack of focus can lead to medical errors, a lack of engagement and missed nursing care.

What happens when a hospital is understaffed?

When a healthcare facility is understaffed, the same amount of work falls to fewer nurses who typically end up working longer hours. Doing so with little to no relief can cause a breakdown in mental, emotional and physical health.

Why is it important to have a good satisfaction rating?

The healthcare industry is moving toward patient-centered care, so good satisfaction ratings are important. As consumers, patients can boost or damage the reputation of a facility with their opinions. Satisfied patients could become loyal patrons, contributing to the financial stability of a healthcare organization.